NPI | 1679334387 |
---|---|
Entity Type | Organization |
Authorized Contact | ASHLEY MARIE MAHIN Owner 317-679-3031 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Additional Taxonomies | 261Q00000X Clinic/Center |
Enumeration Date | 2024-01-19 |
Last Update Date | 2025-07-17 |